Lisa S. Dolgin, MSE, NCC, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4231-125 Issued in WI

Practice address

2405 Northwestern Ave
Racine, WI 53404-2534

Phone

(262) 886-0474

Fax

(262) 898-3378

NPI assigned

Jun 14, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Abg Wellness Group Inc

  • Community/Behavioral Health Agency
  • Milwaukee, WI
  • NPI 1184087389
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365984000000",
    "number": "1679777361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 NORTHWESTERN AVE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534042534",
            "telephone_number": "262-886-0474",
            "fax_number": "262-898-3378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 NORTHWESTERN AVE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534042534",
            "telephone_number": "262-886-0474",
            "fax_number": "262-898-3378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLGIN",
        "first_name": "LISA",
        "middle_name": "S.",
        "credential": "MSE, NCC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-14",
        "last_updated": "2013-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "4231-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679777361",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Desiree Dizadji, MD
• DJ Kontra MD & Associates SC
• Kati Dobbs
• Stephanie Doerr
• Meaghan Kaitlin Doherty, M.D.
• Donald M. Jacobson, MD SC
• Monica Doyle
• Dr. Marguerite Richardson, OD, LLC
• Ashley Drab
• Alexander Charles Drake, DPT

• Professional Counselor in Racine, WI
• Providers in Racine, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.